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SA Problems Drugs to Know
Drugs to Know
70
Veterinary Medicine
Graduate
04/12/2013

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
What are the indications for Dexamethasone?
Definition
Indications:

Potent anti-inflmmatory, immune suppression, hypoadrenocorticism, shock, pituitary-adrenal axis testing, ophthalmic conditions
Term
What are the side effects of Dexamethasone?
Definition
Side effects:

PU/PD, polyphagia, dull dry hair coat, weight gain, panting, vomiting, diarrhea, elevated liver enzymes, pancreatitis, GI ulcers, lipidemias
Term
Indications for Prednisone
Definition
indications;

Hypoadrenocorticism, anti-inflammatory, antipruritic, immune system suppression, antineoplastic chemotherapy
Term
Prednisone side effects
Definition
side effects:

PU/PD, polyphagia, Cushing's syndrome, hepatopathy, opportunistic infections, muscle wasting, CT and skin fragility
Term
Prednisolone indications
Definition
indications:

hypoadrenocorticism, anti-inflammatory, anti-pruritic, immune suppression, chemotherapy, inflammation of the eyelids/conjunctiva/sclera/cornea/anterior segment of eye
Term
Prednisolone side effects
Definition
side effects:

PU/PD, polyphagia, Cushing's syndrome, hepatopathy, opportunistic infections, muscle wasting, CT and skin fragility
Term
Clavamox indications
Definition
indications:

skin & soft tissue infections, UTI, canine periodontal disease

(binds to beta-lactamases and penicillinases produced by Staph spp.)
Term
Clavamox side effects
Definition
side effects:

Vomiting, allergic reactions
Term
Famotidine indications
Definition
indications:

Gastric, abomasal and duodenal ulcers, uremic gastritis, stress-related or drug induced erosive gastritis, esophagitis, duodenal & esophageal reflux
Term
Famotidine side effects
Definition
side effects:

vomiting, diarrhea, anorexia

bradycardia
IV hemolysis (in cats when given IV)
Term
How does dexamethasone differ from prednisolone/prednisone?
Definition
longer acting, more potent, no mineralocorticoid activity
Term
when would you choose dexamethasone over pred?
Definition
pituitary-adrenal testing (ie- low or high dose dex-suppression test)

Debatable/controversial: emergencies for anaphylactic reactions, spinal cord trauma, or shock
Term
In what situation would prednisolone be chosen over prednisone?
Definition
Cats- cats can not efficiently convert prednisone to its active form prednisolone in the liver.
Term
when would you choose prednisone/olone over dexamethasone?
Definition
anti-inflammatory/ antipruritic
immunosuppressive diseases
Term
Metronidazole indications
Definition
indications:

Giardia (dogs and cats), enteric and systemic anaerobic infections, other parasites (trichomonas and Balantidium coli); GI disorders- immunomodulatory effect?
Term
Metronidazole side effects
Definition
side effects:

Dogs: neurologic disorders (dose-relaed), lethargy, weakness, neutropenias, hepatotoxicity, hematuria, anorexia, nausea, vomiting, diarrhea, teratogenic

Cats: vomiting, inappetance, hepatotoxiciy, CNS toxicity, teratogenic

overdose/toxicity: anorexia, vomiting, depression, mydriasis, nystagmus, ataxia, head-tilt, deficits of proprioception, joint knuckling, disorientation, tremors, seizures, bradycardia, rigidity, stiffness
Term
Doxycycline indications
Definition
indications:

treat infections caused by: borrelia, leptospira, rickettsiae, chlamydia, mycoplasma, bartonella, bordatella
Term
Doxycycline side effects
Definition
side effects:

vomiting, diarrhea, anorexia, staining of teeth; oral pill implicated in causing esophageal strictures

contraindicated in pregnant or nursing animals
Term
What are some alternate drugs for Metronidazole?
Definition
Tylosin
Oxytetracycline
Fenbendazole
Term
Phenobarbital indications
Definition
indications:

epilepsy, seizures, status epilepticus
Term
Phenobarbital side effects
Definition
side effects:

Dogs: anxiety or lethargy, depression, sedation, ataxia, PD/PU, polyphagia, hepatotoxicity, increased liver enzymes

Cats: ataxia, lethargy, polyphagia, weight gain, PU/PD
Term
What are some alternate drugs for Phenobarbital?
Definition
Potassium bromide
diazepam (IV only)
Carbamazepine
Phenytoin
Valproic Acid
Gabapentin
Chlorazepate
Zonisamide
Term
Azathioprine indications
Definition
indications:

immunosuppressive
Dogs: IMHA, immune-mediated glomerulopathy, myasthenia gravis, chronic atrophic gastritis, chronic active hepatitis, ITP, autoimmune skin diseases, SLE, severe/refractory IBD, rheumatoid arthritis, ocular fibrous histiocytomas, to prevent rejection of MHC-matched renal allografts in dogs

Cats: not recommended (bone marrow suppression risk)
Term
Azathioprine side effects
Definition
side effects:

Bone marrow suppression (especially in cats), GI upset, poor hair growth, acute pancreatitis, hepatotoxicity; susceptible to infections or neoplastic illnesses with long term use; rapid withdrawal can lead to a rebound hyper immune response in dogs w/ IMHA
Term
Cyclosporine indications
Definition
indications:

Ophthalmology (ocular inflammation, keratoconjunctivitis sicca); Dermatology & Immune-mediated disorders (atopic dermatitis, anal furunculosis, SLE, ITP, IMHA, pemphigus, rheumoatoid arthritis); reduce rejection of allografts in dogs and cats
Term
Cyclosporine side effects
Definition
side effects:

GI (vomiting, diarrhea, anorexia), nephrotoxicity, hepatotoxicity; long term use may predispose to bacterial or fungal infections; long term use w/ steroids may predispose paient to develop neoplastic diseases; increased hair growth in cats
Term
Maropitant indications
Definition
indications:

broad spectrum anti-emetic: effective in inhibiting emesis associated with cancer chemotherapy, motion sickness, parvo infections, gastroenteritis, and renal disease
Term
Maropitant side effects
Definition
side effects:

excessive drooling, lethargy, vomiting not due to motion sickness; caution in dogs with hepatic dysfunction
Term
Mirtazapine indications
Definition
Antiemetic and appetite stimulant: trx of chemo induced nausea and vomiting, anorexia assoc w/ renal disease, CHF, GI disorders, liver disease, neoplasia
Term
Mirtazapine side effects
Definition
side effects:

sedation, vocalization, increased affection in cats, hypotension, tachycardia
Term
Florinef (Fludrocorisone Acetate)indications
Definition
indications:

Treatment of adrenocortical insufficiency (Addison’s dz.); adjunctive therapy of hyperkalemia.
Term
Florinef (Fludrocortisone Acetate) side effects
Definition
side effects:

overdose or too quick of a withdrawal: hypertension, edema, hypokalemia, weight gain
Term
DOCP (Desoxycorticosterone pivalate)indications?
Definition
indications:

adrenocortical insufficiency (addison's) in dogs

extralabel for Addison's in cats
Term
DOCP side effects:
Definition
side effects:

overdose: PU?PD, hypernatremia, hypertension, edema, hypokalemia, cardiac enlargement, irritation at injection site
Term
Trilostane indications
Definition
indications:

-pituitary dependent Cushing's or adrenal dependent cushings in dogs; and feline pituitary-dependent cushing's

-dogs w/ alopecia x
-adult onset alopecia in malamutes
Term
Trilostane side effects
Definition
side effects:

Dogs: lethargy, mild electrolyte abnormalities, vomiting, diarrhea, inappetance (due to steroid withdrawal)
Term
Enrofloxacin and Marbofloxacin indications
Definition
indications:

Activity against gram positive and gram-negative bacilli and cocci (*reserve for more resistant infections- esp. gram negative)

including: Staph (inc. MRSA), mycoplasma, mycobacteria, pseudomonas, klebsiella, E. coli, Enterobacter, campylobacter, shigella, salmonella, haemophilus

**not effective against anaerobes and not recommended for strep
Term
Enrofloxacin and Marbofloxacin side effects
Definition
side effects:

cartilage abnormalities in young animals (RARE); GI upset, elevated hepatic enymes, ataxia, seizures, depression, lethargy, nervousness, hypersensitivity reactions or crystalluria,

cats: ocular toxicity (high doses) and aggression
- not seen with marbofloxacin
Term
Metoclopramide indications
Definition
indications:

GI motility agent, antiemetic (dogs)

clinical uses: GI stasis disorders, delayed gastric emptying, esophagitis, gastroesophageal reflux, antiemetic

uncommon uses: induce milk let down for secondary agalactia; increase bladder contractility
Term
Metoclopromide side effects
Definition
side effects:

Dogs: changes in mentation and behavior (restlessness, involuntary spasms, aggression, hyperactivity, drowsiness/depression), constipation

cats: frenzied behavior, disorientation, constipation

overdose: sedation, ataxia, agitation, nausea, vomiting
Term
Omeprazole indications
Definition
indications:

gastroduodenal ulcer and erosion trx and prevention (caused by ulcerogenic drugs and exercise-induced gastritis)
Term
Omeprazole side effects
Definition
side effects:

GI upset, UTIs, proteinuria, CNS disturbances
Term
Pantoprazole indications
Definition
indications;

gastric-acid related pathologies; H. pylori infections
Term
pantoprazole side effects
Definition
side effects:

GI upset, IV injection site reaction; overall drug is well tolerated in small animals
Term
Cisapride indications
Definition
indications:

esophageal reflux, esophagitis, primary gstric stasis disorders

constipation and megacolon (in cats)

urine retention disorders (enhances detrusor muscle contraction)
Term
Cisapride side effects
Definition
side effects:

GI upset, cardiac arrhythmias

overdose: lethargy, ataxia, hyperthermia, hypersalivation, muscle fasiculations, agitation, abnormal behavior, possibly seizures (dogs)
Term
Sulfamethoxazole/trimethoprim (SMZ/TMP) indications
Definition
Gram + infections: most Strep, Staph (MRSA, MRSI), nocardia

Gram - infxns: enterobacteriaceae family (NOT pseudomonas)

protozoa: coccidia, toxoplasma, pneumocystis

little activity against anaerobes

susceptible infxns: bacterial UTI, pyoderma, soft tissue infxns, acanthamebiasis, systemic infxns, bacteremia, toxoplasmosis, neospora, hepatozoon canis & americanum, coccidiosis, pneumocystosis
Term
Sulfamethoxazole/trimethoprim (SMZ/TMP) side effects
Definition
side effects:

Dogs: KCS, hypersensitivity, acute neutrophilic hepatitis w/ icterus, vomiting, anorexia, diarrhea, fever, hemolytic anemia, urticaria, polyarthritis, facial swelling, PD/PU, crystalluria, hematuria, cholestasis, hypothyroidism, anemias, agranulocytosis, idiosyncratic hepatic necrosis in dogs

cats: anorexia, crystalluria, hematuria, leukopenias & anemias
Term
Cefazolin indications
Definition
indications:

Gram + infxns

variable for gram - infxns

sepsis, sx prophylaxis, systemic infxns, orthopedic infxns

In Vitro efficacy: excellent against B-hemolytic strep and pasteurella; good against klebsiella, obligate anaerobes, E. coli, Proteus, staph pseudointermedius and schleiferi; fair against staph aureus; resistant against bordatella, enterobacter, entercoccus, pseudomonas
Term
Cefazolin side effects
Definition
side effects:

GI upset, hypersensitivity rxns (rashes, urticaria, angioedema, fever), renal (proximal tubular damage

high doses/ prolonged use: neurotoxicity, neutropenia, agranulocytosis, thrombocytopenia, hepatitis, positive coomb's test, interstitial nephritis and tubular necrosis
Term
Methimazole indications
Definition
indications:

feline hyperthyroidism

prophylactic prevention of Cisplatin induced nephrotoxicity in dog
Term
Methimazole side effects
Definition
side effects:

GI upset, depression, eosinophilia, leukopenia, lymphocytosis w/in first 8wks of trx

Rare: self-induced excoriations, bleeding, hepatopathy, thrombocytopenia, agranulocytosis, positive direct antiglobulin test, acquired myasthenia gravis

high levels in pregnant queens-> may induce hypothyroidism in kittens
Term
Furosemide indications
Definition
indications:

diuretic
trx of: congestive cardiomyopathy, pulmonary edema, hypercalcuric nephropathy, uremia, adjunctive therapy in hyperkalemia, antihypertensive agent
Term
Furosemide side effects
Definition
side effects:

dehydration, GI upset, anemia, weakness, restlessness, may induce fluid and electrolyte abnormalities, hyponatremia, hypocalcemia, hypokalemia, hypomagnesemia, ototoxicity
Term
Levothyroxine indications
Definition
indications:

thyroid hormone for hypothyroidism
Term
Levothyroxine side effects
Definition
side effects:

no adverse effects at appropriate dose

thyrotoxicosis (at high doses)
Term
PPA (Phenylpropanolamine)indications
Definition
indications:

treatment of urethral sphincter hypotonus/incontinence, and retrograde ejaculation

other: nasal decongestion, mild bronchodilator
Term
PPA (Phenylpropanolamine) side effects
Definition
side effects:

restlessness, anxiety, irritability, urine retention, tachycardia, cardiac effects (hypertension), appetite suppression/anorexia, CNS excitement
Term
Ursodeoxychlic acid indications
Definition
indications:

adjunctive therapy for medical management of cholesterol containing gallstones, patients with chronic liver disease (cholestasis).

slow progression of inflammatory hepatic disorders (autoimmune hepatitis, acute hepatotoxicity)
Term
Ursodeoxycholic acid side effects
Definition
side effects:

none; well tolerated in dogs and cats
Term
Amlodipine indications
Definition
indications:

hypertension in cats (drug of choice)
Term
Amlodipine side effects
Definition
side effects:

hypotension and inappetance absent in cats (due to slow onset of action)

cats: azotemia, lethargy, hypokalemia, reflex tachycardia, weight loss

dogs: gingival hyperplasia (w/ long term use)
Term
SAMe indications
Definition
indications:

neutraceutical for adjunctive trx of liver diesease, osteoarthritis, or acetominophen toxicity in small animals
Term
SAMe side effects
Definition
side effects:

immediate post dose anorexia, vomiting, and anxiety have been reported
Term
Enalapril indications
Definition
indications:

-vasodilator (heart failure, hypertension)
-trx for mitral regurgitation, left to right shunts, feline DCM
-adjunct trx for chronic renal failure, PLN
Term
Enalapril side effects
Definition
side effects:

GI upset, weakness, hypotension, renal dysfunction, hyperkalemia, exercise intolerance,
-lethargy and inappetance in cats
Term
Benazepril indications
Definition
indications:

heart failure (DCM, mitral valve disease, HCM), hypertension, chronic renal failure, protein-losing, glomerulonephropathies, hypertension, proteinuria, vasodilator
Term
Benazepril side effects
Definition
side effects:

GI upset, hypotension, renal dysfunction, hyperkalemia
Term
Itraconazole indications
Definition
indications:

systemic mycoses (aspergillosis, cryptococcal meningitis, blastomycosis, histoplasmosis), superficial candidiasis, dermatophytosis
Term
Itraconazole side effects
Definition
side effects:

Dogs: anorexia, hepatic toxicity, ulcerative skin lesions/vasculitis, limb edema

Cats: GI upset, weight loss, hepatotoxicity, depression
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